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[胃肠道神经内分泌肿瘤的治疗]

[Treatment of neuroendocrine tumours of the gastrointestinal tract].

作者信息

Hansen Carsten Palnaes, Langer Seppo, Frevert Susanne, Mortensen Jann, Kjaer Andreas, Knigge Ulrich

机构信息

Kirurgisk Klinik C, Rigshospitalet, 2100 København Ø, Denmark.

出版信息

Ugeskr Laeger. 2010 Oct 25;172(43):2942-5.

Abstract

The prognosis of neuroendocrine tumours of the gastrointestinal tract and pancreas is difficult to estimate due to their heterogeneous nature. Survival without dissemination may reach 90%, while metastases reduce the 5-year survival to less than 50%. Radical surgery offers the only possibility of cure. Palliative therapy includes surgery and intra-arterial embolization of hepatic metastases, chemotherapy, biotherapy with interferon-alpha and radionuclear treatment. Tumour-targeted therapy with tyrosine kinase inhibitors, mammalian target of rapamycin inhibitors or monoclonal antibodies are under investigation in phase-III studies.

摘要

由于胃肠道和胰腺神经内分泌肿瘤具有异质性,其预后难以估计。无播散情况下的生存率可达90%,而发生转移则会使5年生存率降至50%以下。根治性手术是唯一可能治愈的方法。姑息治疗包括手术、肝转移瘤的动脉内栓塞、化疗、α-干扰素生物治疗和放射性核素治疗。酪氨酸激酶抑制剂、雷帕霉素靶蛋白抑制剂或单克隆抗体的肿瘤靶向治疗正在III期研究中进行调查。

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